Individual
VICKI LANDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
855 BELANGER ST STE 103, HOUMA, LA 70360-4463
(985) 860-4143
Mailing address
381 GARDEN VIEW DR, HOUMA, LA 70364-4004
(985) 860-4143
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4196
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4196
LABMT
LA
Enumeration date
02/16/2021
Last updated
02/16/2021
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